Dental
Bubble Gum Kids Dentistry
Bubble Gum Kids Dentistry was paid $30K by Medicaid between Nov 2023 and May 2024, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoBUBBLE GUM KIDS DENTISTRY
WARREN, MI 48092
WARREN, MI 48092
33aNPI1225714157assigned 06/26/2023
33bProvider typePediatric Dentist
28Total paid$30K
24GClaims1,042
24DCodes billed9
24AFirst – last monthNov 2023 – May 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#126 of 153
Median peer was paid$464K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 200 | $6K | |
| 2024incomplete | 842 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 192 | 182 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 171 | 163 | $7K |
| D1206 | Topical application of fluoride varnish | 17% | 192 | 182 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 10.0% | 169 | 157 | $3K |
| D0272 | Bitewings - two radiographic images | 5.7% | 79 | 78 | $2K |
| D1351 | Sealant - per tooth | 4.9% | 57 | 12 | $1K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 30 | 29 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 138 | 107 | $1K |
| D0274 | Bitewings - four radiographic images | 1.4% | 14 | 13 | $431.54 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPAUNDLAY, AMY (SR. VICE PRESIDENT OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| First Impressions Orthodontics | Fairfield, CT | $492K |
| Bubble Gum Kids Dentistry | Southgate, MI | $248K |
| Bubble Gum Kids Dentistry Clinton TWP | Clinton Township, MI | $164K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.